The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association最新文献

{"title":"Investigation of Genetic Causes in a Developmental Disorder: Oculoauriculovertebral Spectrum.","authors":"Naz Güleray,&nbsp;Can Koşukcu,&nbsp;Sümeyra Oğuz,&nbsp;Gizem Ürel Demir,&nbsp;Ekim Z Taşkıran,&nbsp;Pelin Özlem Şimşek Kiper,&nbsp;Gülen Eda Utine,&nbsp;Yasemin Alanay,&nbsp;Koray Boduroğlu,&nbsp;Mehmet Alikaşifoğlu","doi":"10.1177/10556656211038115","DOIUrl":"https://doi.org/10.1177/10556656211038115","url":null,"abstract":"<p><strong>Objective: </strong>Oculoauriculovertebral spectrum (OAVS) is a genetically and clinically heterogeneous disorder that occurs due to a developmental field defect of the first and second pharyngeal arches. Even though recent whole exome sequencing studies (WES) have led to identification of several genes associated with this spectrum in a subset of individuals, complete pathogenesis of OAVS remains unsolved. In this study, molecular genetic etiology of OAVS was systematically investigated.</p><p><strong>Design/setting/patients: </strong>A cohort of 23 Turkish patients with OAVS, referred to Hacettepe University Hospital, Department of Pediatric Genetics from 2008 to 2018, was included in this study. Minimal diagnostic criteria for OAVS were considered as unilateral microtia or hemifacial microsomia with preauricular skin tag. The cohort was clinically reevaluated for craniofacial and extracranial findings. Molecular etiology was investigated using candidate gene sequencing following copy number variant (CNV) analysis. WES was also performed for 2 of the selected patients.</p><p><strong>Results: </strong>Patients in the study cohort presented similar demographic and phenotypic characteristics to previously described patients in the literature except for a higher frequency of bilaterality, cardiac findings, and intellectual disability/developmental delay. CNV analysis revealed a possible genetic etiology for 3 patients (13%). Additional WES in 1 of the 2 patients uncovered a novel heterozygous nonsense variant in Elongation factor Tu GTP-binding domain-containing 2 (<i>EFTUD2</i>) causing mandibulofacial dysostosis with microcephaly (MFDM), which clinically overlaps with OAVS.</p><p><strong>Conclusion: </strong>Detailed clinical evaluation for any patient with OAVS is recommended due to a high rate of accompanying systemic findings. We further expand the existing genetic heterogeneity of OAVS by identifying several CNVs and a phenotypically overlapping disorder, MFDM.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"1114-1124"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39337896","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Furlow Palatoplasty for Velopharyngeal Dysfunction Management: Auditing and Predicting Outcomes.","authors":"Krishnamurthy Bonanthaya,&nbsp;Jazna Jalil,&nbsp;Aparna V Sasikumar,&nbsp;Pritham N Shetty","doi":"10.1177/10556656211035914","DOIUrl":"https://doi.org/10.1177/10556656211035914","url":null,"abstract":"<p><strong>Objective: </strong>The Furlow palatoplasty is a proven procedure in the management of secondary velopharyngeal dysfunction in patients with cleft palate. But the selection of cases, the degree of clinical success, and the preoperative predictors of the same are less established. This study is an effort to retrospectively look at outcomes, in a large series of velopharyngeal dysfunction cases treated with the Furlow palatoplasty alone.</p><p><strong>Design: </strong>Retrospective analysis of preoperative and postoperative speech and videofluoroscopic data.</p><p><strong>Setting: </strong>Tertiary care center.</p><p><strong>Patients/participants: </strong>Ninety-two patients who were diagnosed with velopharyngeal dysfunction post primary cleft palate repair.</p><p><strong>Interventions: </strong>Furlow palatoplasty for velopharyngeal dysfunction post primary cleft palate repair.</p><p><strong>Main outcome measures: </strong>Variables analyzed were perceptual speech parameters and, closure ratios obtained from lateral video-fluoroscopic images.</p><p><strong>Results: </strong>Overall, 81.5% had postoperative improvements in their lateral video-fluoroscopic parameters, 63% improved their nasality scores, and 65.2% had improved speech intelligibility. A simple linear regression was done to predict the postoperative closure ratio. Preoperative closure ratio, hypernasality (moderate and severe), and audible nasal air emission are predictors for postoperative closure ratio.</p><p><strong>Conclusions: </strong>The Furlow palatoplasty alone led to complete resolution, or significant improvement of velopharyngeal dysfunction in a majority of patients, despite the cohort having a wide range of severity in terms of degree of dysfunction. The predictive formula will be validated in a further study.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"1097-1106"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39319423","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Anterior \"W\" Tongue Reduction for Macroglossia in Beckwith-Wiedemann Syndrome.","authors":"Bar Y Ainuz,&nbsp;Emily L Geisler,&nbsp;Rami R Hallac,&nbsp;Jeyna K Perez,&nbsp;James R Seaward,&nbsp;Alex A Kane","doi":"10.1177/10556656211036607","DOIUrl":"https://doi.org/10.1177/10556656211036607","url":null,"abstract":"<p><strong>Introduction: </strong>Macroglossia occurs in 80% to 99% of patients with Beckwith-Wiedemann syndrome (BWS) and a variety of surgical techniques for tongue reduction are offered by surgeons. The purpose of this study is to evaluate the postoperative outcomes of the anterior \"W\" tongue reduction technique in patients with BWS.</p><p><strong>Methods: </strong>A retrospective review was conducted of all patients diagnosed with BWS that underwent an anterior \"W\" tongue reduction for macroglossia in the past 7 years, performed by 2 surgeons. Demographics, procedural characteristics, perioperative outcomes, and complications were assessed.</p><p><strong>Results: </strong>A total of 19 patients met inclusion criteria consisting of 8 male and 11 female patients. The mean age at the time of surgery was 405 days, mean surgeon operating time was 1.06 h, and mean length of follow-up was 467 days. Postoperative oral competence was observed in 100% of patients. There was no reported history of sleep apnea or airway compromise. Speech delay was seen in 4 patients pre- and postoperatively. Feeding issues decreased from 7 patients preoperatively to 1 patient postoperatively. Preoperative prevalence of class III malocclusion (53%) and isolated anterior open bite (26%) decreased postoperatively to 37% and 16%, respectively. The only reported complications were superficial tip wound dehiscence in 3 patients treated with nystatin antifungal therapy. None of the patients required revisional surgery.</p><p><strong>Conclusion: </strong>Patients treated with the anterior \"W\" tongue reduction technique had low rates of perioperative complications and significant improvements in oral competence. Anterior \"W\" tongue reduction is safe and effective for the correction of macroglossia in patients with BWS.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"1145-1154"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39331153","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Validation of Skully Care as a Fast Method for Quantifying Positional Cranial Deformities.","authors":"Léon N A Van Adrichem,&nbsp;Sophia A J Kronig,&nbsp;Otto D M Kronig","doi":"10.1177/10556656211035022","DOIUrl":"https://doi.org/10.1177/10556656211035022","url":null,"abstract":"<p><strong>Objective: </strong>Craniofacial measuring is valuable for diagnosis and evaluation of growth and treatment of positional skull deformities. Plagiocephalometry (PCM) quantifies skull deformities and is proven to be reliable and valid. However, PCM needs direct skin contact with thermoplastic material, is laborious and time-consuming. Therefore, Skully Care (SC) was developed to measure positional skull deformities with a smartphone application.</p><p><strong>Design: </strong>SC is retrospectively compared to PCM.</p><p><strong>Setting: </strong>Pediatric physiotherapy centers.</p><p><strong>Patients: </strong>Age ≤1 year, analyzed or treated for positional skull deformities.</p><p><strong>Interventions: </strong>A total of 60 skull shape analyses were performed.</p><p><strong>Main outcome measures: </strong>The main outcome measures employed are Pearson correlation coefficient between cranial vault asymmetry index (CVAI; in SC) and oblique diameter difference index (ODDI; in PCM) and between cranial index (CI; in SC) and cranial proportional index (CPI; in PCM). Mann-Whitney <i>U</i> test determined difference of time consumption between PCM and SC.</p><p><strong>Results: </strong>High correlation was found between CVAI and ODDI (<i>r </i>= 0.849; <i>P </i>< .01) in positional plagiocephaly and very high correlation between CI and CPI (<i>r</i> <i>=</i> 0.938; <i>P </i>< .01) in positional brachycephaly. SC is significantly faster than PCM (<i>P </i>< .001).</p><p><strong>Conclusions: </strong>SC is valid in analyzing positional skull deformities and strongly correlates to PCM, the gold standard in daily physiotherapy practice. The combination of simplicity, validity, speed, and user and child convenience makes SC a promising craniofacial measuring method in daily practice. SC has potential to be the modern successor for analyzing positional skull deformities.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"1107-1113"},"PeriodicalIF":1.1,"publicationDate":"2022-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9411692/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39445357","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Frame for Orienting Infants With Cleft Lip and Palate During 3-Dimensional Facial Scanning.","authors":"K H Alisha,&nbsp;Puneet Batra,&nbsp;Sreevatsan Raghavan,&nbsp;Karan Sharma,&nbsp;Aditya Talwar","doi":"10.1177/10556656211028512","DOIUrl":"https://doi.org/10.1177/10556656211028512","url":null,"abstract":"<p><strong>Background: </strong>Nonradiographic 3-D assessment of soft tissue facial structures is an ideal tool to measure 3-D facial change and smartphone apps like Bellus 3D have brought these technologies to our doorsteps. Although this app works well for adults, it doesn't do so well with infants as their stabilization is difficult thus proper alignment becomes problematic often leading to distortion. This seriously hampers the repeatability and reliability of the whole process.</p><p><strong>Material and method: </strong>A stainless steel rod of 150-cm length is curved into a semicircle of a radius of 42.5 cm. Bases are fabricated at both the ends to firmly hold the stand on the table. A Teflon ring of one inch is made for adjusting the diameter of the camera holder. A camera holder is then attached to the Teflon ring. The mobile holder mounted is free to move within the arc. A 3-D facial scan of a single patient was carried out with the camera mounted on the frame and once without the frame. The same was compared using side-by-side comparison and superimposition of the .STL files from the frontal, profile, and worm's eye view.</p><p><strong>Result and conclusion: </strong>It was found that considerable distortion was noted around the nasal and paranasal areas when the scan was performed without the frame as compared to the one that was taken with the frame. This technique avoided distortion and the difficulty in turning the baby's head to record the lateral portion of the face.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"946-950"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10556656211028512","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39157535","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Nasopharyngeal Tube and Functional Treatment in Pierre Robin Sequence: A Tertiary Clinical Experience From 150 Cases.","authors":"Fabian Blanc,&nbsp;Inge Harrewijn,&nbsp;Claire Duflos,&nbsp;Frederica Maggiulli,&nbsp;Guillaume Captier","doi":"10.1177/10556656211031105","DOIUrl":"https://doi.org/10.1177/10556656211031105","url":null,"abstract":"<p><strong>Objectives: </strong>To describe the initial care practices for children with Pierre Robin sequence (PRS) and analyze the factors predicting the severity of the obstruction breathing disorders.</p><p><strong>Design: </strong>A retrospective single-center study of 150 children with PRS.</p><p><strong>Setting: </strong>Single tertiary care center, Regional Competence Center for the diagnosis and treatment of PRS.</p><p><strong>Patients: </strong>A total of 150 children with PRS consecutively followed between 1986 and 2017. Group 1 comprises children without specific respiratory management; group 2, children requiring prone positioning to alleviate their respiratory distress symptoms; and group 3, children requiring nasopharyngeal airway tube (NT) or nonconservative surgical treatment.</p><p><strong>Main outcome measures: </strong>Evolution and results of the initial treatment of PRS.</p><p><strong>Results: </strong>Forty-two percent (n = 63) were attributed to group 1, 39% (n = 50) to group 2, and 19% (n = 29) to group 3. Preterm birth, birth weight, or associated congenital malformations were not significantly different between the groups. However, the age of exclusive oral feeding was significantly different: 1 day (quartiles: 0-3) for group 1; 11 days (quartiles: 1-28) for group 2; 39 days (quartiles: 19-111) for group 3 (<i>P</i> < .0001). Considering the NT, its use relieves the upper airway obstruction, assessed by a respiratory polygraphy, in 14 children.</p><p><strong>Conclusions: </strong>Nasopharyngeal airway tube has become our major first-line treatment, avoiding more complex procedures in most of the cases. The achievement of exclusive oral feeding seems to be a good predictor of the severity of respiratory symptoms in PRS.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"891-898"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10556656211031105","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39225317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Prevalence and Morphology of Supernumerary Teeth in Children With Nonsyndromic Cleft Lip and Palate.","authors":"Agnieszka Lasota,&nbsp;Weronika Siebieszuk,&nbsp;Przemysław Pastuszak,&nbsp;Adrianna Mostowska","doi":"10.1177/10556656211027750","DOIUrl":"https://doi.org/10.1177/10556656211027750","url":null,"abstract":"<p><strong>Introduction: </strong>Cleft lip with or without cleft palate (CL/P) is congenital deformity associated with hyperdontia.</p><p><strong>Objective: </strong>To determine the prevalence and characteristics of supernumerary teeth in patients with CL/P.</p><p><strong>Design: </strong>Retrospective descriptive and correlation clinical study.</p><p><strong>Patients: </strong>One hundred thirteen children with cleft (age ranged 9.3-19.2; 67 males and 46 females) treated in Clinic of Congenital Facial Deformities Medical University of Lublin were included in the study.</p><p><strong>Methods: </strong>Records evaluation was conducted regarding age, gender, cleft type (Q36, Q37-<i>International Classification of Diseases</i> 10th revision), cleft side, and incidence of supernumeraries. In all supernumerary teeth, size, shape, and developmental degree were analyzed and correlation between the incidence of hyperdontia with different variables was checked. Correlations were detected using chi-square and the Yates correction.</p><p><strong>Results: </strong>The majority of the examined group were males-59.29% with Q37 (67.26%) and the cleft on the left side (62.83%). Hyperdontia was noted in 26.55%. Only upper lateral incisors were affected. They usually had atypical shape (56.67%), reduced size (83.33%), and delayed development (56.67%).</p><p><strong>Conclusions: </strong>The prevalence of supernumerary permanent teeth in patients with cleft was higher than in the general population. Anomaly was more frequent in male patients and occurred mainly on the cleft side. The severity of the cleft did not influenced the frequency of supernumerary teeth, their shape, size, and developmental degree. Supernumerary teeth were characterized by reduced crown size, abnormal structure, incorrect inclination, and delayed development phase.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"867-872"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10556656211027750","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39147650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SHORT Syndrome: Systematic Appraisal of the Medical and Dental Phenotype.","authors":"Suhaym Mubeen,&nbsp;Clara Gibson,&nbsp;Raiyan Mubeen,&nbsp;Sahar Mansour,&nbsp;Robert D Evans","doi":"10.1177/10556656211026859","DOIUrl":"https://doi.org/10.1177/10556656211026859","url":null,"abstract":"<p><strong>Introduction: </strong>SHORT syndrome is a rare autosomal dominant condition described by its acronym of short stature, hyperextensibility of joints and/or inguinal hernia, ocular depression, Rieger abnormality, and teething delay. Individuals have a distinct progeroid craniofacial appearance with a triangular face, frontal bossing, hypoplastic or thin alae nasi, large low-set ears, and mandibular retrognathia.</p><p><strong>Objectives: </strong>To systematically appraise the literature and update the clinical phenotype with emphasis on the dental condition.</p><p><strong>Design: </strong>A systematic literature search was carried out to update the clinical phenotype, identifying reports of individuals with SHORT syndrome published after August 2015. The same search strategy but not limited to publication date was carried out to identify reports of the dental phenotype. Two independent reviewers screened 1937 articles with 55 articles identified for full-text review.</p><p><strong>Results: </strong>Nineteen individuals from 11 families were identified. Facial dysmorphism including ocular depression, triangular shaped face, frontal bossing, large low-set ears, and micrognathia were the most consistent features followed by lipodystrophy, insulin resistance, and intrauterine growth restriction. Teething delay, microdontia, hypodontia, and enamel hypoplasia have all been reported.</p><p><strong>Conclusion: </strong>Features that comprise the SHORT acronym do not accurately or completely describe the clinical phenotype. The craniofacial appearance is one of the most consistent features. Lipodystrophy and insulin resistance may also be considered cardinal features. After teething delay, enamel hypoplasia and microdontia are the most common dental manifestations. We present recommendations for the dental and orthodontic/orthognathic management of individuals with SHORT syndrome.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"873-881"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1177/10556656211026859","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39143784","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Ectomesenchymal Chondromyxoid Tumor: A Rare Association With an Asymmetrical Soft Palate Cleft.","authors":"Sharan Naidoo,&nbsp;Gieljam J Roode,&nbsp;Kurt W Bütow,&nbsp;Shabnum Meer","doi":"10.1177/10556656211035029","DOIUrl":"https://doi.org/10.1177/10556656211035029","url":null,"abstract":"<p><p>Ectomesenchymal chondromyxoid tumor (ECT) is a rare oral lesion first described by Smith et al. in 1995. These tumors are typically painless, slow growing and benign masses occurring predominantly on the anterior tongue dorsum. Prior to this seminal report, many ECTs may have been misdiagnosed due to the histological similarities with other lesions. Immunohistochemical stains aid in definitive diagnosis of an ECT. A total of 39 papers since published have reported 96 patients with ECT. Most lesions involve the anterior aspect of the tongue, with only 6 occurring in the posterior tongue and 2 involving the hard palate. ECTs are considered to develop from ectomesenchymal cells of neural crest cells that have migrated to the tongue during embryological development. This paper is of a rare case of ECT of the posterolateral tongue occurring in association with an unusual asymmetrical soft palate cleft. It is postulated that since the tongue develops before the formation of the soft palate, an ECT lesion occurring on the posterior aspect may have a causal contribution to the development of the soft palate cleft.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"932-937"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39366622","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Social Determinants of Health in Facial and Craniomaxillofacial Reconstruction: Can We Do Better?","authors":"Sumun Khetpal,&nbsp;Daniel C Sasson,&nbsp;Joseph Lopez,&nbsp;Derek M Steinbacher,&nbsp;Arun K Gosain","doi":"10.1177/10556656211037510","DOIUrl":"https://doi.org/10.1177/10556656211037510","url":null,"abstract":"<p><p>Social determinants of health (SDOH) are integral to consider when delivering craniomaxillofacial and facial reconstructive care for patients. The American Cleft Palate-Craniofacial Association (ACPA) has instituted a formalized multidisciplinary care team model that recognizes such determinants and has aggregated patient-led organizations to strengthen patients' education and support system. This review discusses the need for all surgeons engaged in facial and craniomaxillofacial reconstruction to consider SDOH in their practice. Additionally, we explore how factors such as race, insurance status, education level, cost, and access to follow-up care, impact surgical care for craniosynostosis, facial trauma, orthognathic surgery, head and neck cancer, and facial paralysis. We propose that the ACPA team model be applied to other societies that care for the broader scope of patients in need of facial and craniomaxillofacial reconstruction to strengthen the communication, collaboration, and standardization of care delivery that is personalized to the needs of each patient.</p>","PeriodicalId":520794,"journal":{"name":"The Cleft palate-craniofacial journal : official publication of the American Cleft Palate-Craniofacial Association","volume":" ","pages":"938-945"},"PeriodicalIF":1.1,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39410799","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}